| Pratt Internal Medicine Group Pa | |
|
420 Country Club Rd Pratt KS 67124-3125 | |
| (620) 672-7415 | |
| (620) 672-7414 |
| Full Name | Pratt Internal Medicine Group Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 420 Country Club Rd, Pratt, Kansas |
| Authorized Official Name and Position | Daniel J Suiter (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 6206727415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratt Internal Medicine Group Pa 420 Country Club Rd Pratt KS 67124-3125 Ph: (620) 672-7415 | Pratt Internal Medicine Group Pa 420 Country Club Rd Pratt KS 67124-3125 Ph: (620) 672-7415 |
| NPI Number | 1174570386 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174570386 | NPI | - | NPPES |
| 100088840B | Medicaid | KS | |
| 000811 | Other | KS | RURAL HEALTH BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pratt Community Health Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Main St, Pratt, KS 67124 Phone: 620-388-7741 | |
Pratt Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Watson St, Suite 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-450-1601 | |
Pratt Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Watson St, Suite 200, Pratt, KS 67124 Phone: 620-672-7422 Fax: 620-508-6476 | |
South Central Bone & Joint Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Watson St, Suite 300, Pratt, KS 67124 Phone: 620-672-1002 Fax: 620-672-7268 | |
Pratt Internal Medicine Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 Country Club Rd, Pratt, KS 67124 Phone: 620-672-7415 |